2018
DOI: 10.1016/j.bjoms.2018.09.005
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Complications and loss of free flaps after reconstructions for oral cancer

Abstract: The aim of this retrospective study was to analyse the incidence of complications and loss of flaps after primary reconstructions for oral cancer in 191 patients at our hospital over the five years 2005-2010. The patients' clinical and personal details, characteristics of the tumours, types of microvascular flap, complications, and outcomes were recorded. The soft tissue flaps used most often were the fasciocutaneous radial forearm free flap (RFFF) (n = 86, 45%) and the anterolateral thigh free flap (ALTFF) (n… Show more

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Cited by 18 publications
(10 citation statements)
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“…The outcome metrics selected are those which impact most on patients and service delivery while also, at least hypothetically, being amenable to QI initiatives. The prevalence of adverse events is high, both in the patient group reported here, and those reported by others (10)(11)(12)(13)(14)(15). The literature also suggests variation in the prevalence of the adverse outcome metrics across institutions.…”
Section: Discussionsupporting
confidence: 72%
“…The outcome metrics selected are those which impact most on patients and service delivery while also, at least hypothetically, being amenable to QI initiatives. The prevalence of adverse events is high, both in the patient group reported here, and those reported by others (10)(11)(12)(13)(14)(15). The literature also suggests variation in the prevalence of the adverse outcome metrics across institutions.…”
Section: Discussionsupporting
confidence: 72%
“…This is in accordance with most microsurgical centres. [17][18][19][20][21][22][23][24] In our series out of 27 vascular compromised flaps, 20 vascular compromised flaps underwent re-exploration and by re-exploration 8 vascular compromised flaps could be salvaged, giving a successful salvageable rate of 29.6% (8/27) in our series. According to various literatures successful flap salvage rate generally ranges from over 25% to over 90%.…”
Section: Discussionmentioning
confidence: 65%
“…No vascular or donor site complications were observed and no flaps were lost. In the literature the incidence of complications requiring surgery in patients with osseous free flaps is reported to be 41%–63% and flap loss as high as 11%–25% (Bozikov & Arnez, 2006; Lahtinen et al, 2018; Marttila et al, 2018; van Gemert et al, 2018). In comparison to these numbers, the outcomes of the MH‐flap are good.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, it has a short pedicle with delicate vessels (Brown et al, 2017). The DCIA has been shown to be associated with an increased rate of complications, including prolonged wound drainage, groin pain, gait problems, hematoma, seroma, herniation, and flap loss and is therefore not the most preferable choice for reconstruction (Brown et al, 2017; Koshima et al, 1989; Markiewicz et al, 2015; Marttila et al, 2018; Schardt et al, 2017; Wilkman et al, 2019).…”
Section: Introductionmentioning
confidence: 99%